| NPI | 1083996052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH11945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-8472) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2016-11-28 |